Detailed Information on Publication Record
2023
WOUND CARE, THE ROLE OF ADVANCED TECHNOLOGIES IN WOUND PREVENTION AND HEALING
VEVERKOVÁ, Lenka, Petr DOLEŽAL, Michal REŠKA, Petr VLČEK, Jan ŽÁK et. al.Basic information
Original name
WOUND CARE, THE ROLE OF ADVANCED TECHNOLOGIES IN WOUND PREVENTION AND HEALING
Authors
Edition
2023
Other information
Language
English
Type of outcome
Konferenční abstrakt
Field of Study
30200 3.2 Clinical medicine
Country of publisher
Italy
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Organization unit
Faculty of Medicine
Keywords in English
Wound ADVANCED TECHNOLOGIES WOUND PREVENTION AND HEALING
Změněno: 5/4/2024 10:07, Mgr. Tereza Miškechová
Abstract
V originále
Aim: Every year, many patients around the world develop surgical site infections (SSIs). The incidence of SSIs has significant social, health and financial implications. With the increasing average age of the population and multimorbidity, the number and especially the complexity of surgical procedures performed is also increasing. The main aim of this study was to define groups of patients at high risk of surgical wound site infection and to establish clinical guidelines for the prevention of SSIs in patients undergoing different types of surgery. Method: In a 10-year retrospective analysis of 33,748 operated patients, the incidence of SSIs was found in 768 of them. All the findings of the analysis were statistically evaluated using PASW Statistics software. Results / Discussion: The results of patients without and with SSIs were statistically significant in all variables. The group without SSI: The median LOS was 5 days, the mean operation time was 66 min, the age was 60 years, and the number of operations was one. In the SSI group, the median LOS was 21 days. The number of operations per patient doubled and the operation time increased to 85 min. The critical combination for the development of SSI was an operative time of 107 min in a patient with an ASA of 3 or higher. These variables predict that a patient will acquire infection more than 47% of the time. The financial burden of patients with SSI is 2.5 times higher than in the non-SSI group. Conclusion: Based on our results, we know the groups of risk factors and implement a scoring system before each surgery to use local perioperative preventive agents